Assessment & Research

Autistic traits predict performance on the block design.

Stewart et al. (2009) · Autism : the international journal of research and practice 2009
★ The Verdict

In typical adults, more autistic traits mean better unsegmented block-design scores, highlighting a visual-strength side of the broader autism phenotype.

✓ Read this if BCBAs who give IQ or AQ screens to teens or adults and want to interpret the scores in context.
✗ Skip if Clinicians looking only for social-skill interventions with no plan to use cognitive data.

01Research in Context

01

What this study did

Lancioni et al. (2009) gave college students two short tests. First, the Autism-Spectrum Quotient (AQ) to see how many autism-like traits each person had. Then, the block design task from the IQ kit to see how fast they could copy colored patterns.

They used the 'whole' version of the task. That means the picture stayed in one piece instead of being split into chunks. They wanted to know if higher AQ scores would predict better scores on this puzzle.

02

What they found

People with more autistic traits did better on the unsegmented block design. The higher the AQ score, the faster and more accurate the build.

The link stayed strong even after they removed the few students who already knew they were on the spectrum. In plain words, more autism-like thinking went hand-in-hand with sharper visual-spatial skill.

03

How this fits with other research

Two later studies seem to flip the result, but they tested different skills. Clark et al. (2013) found higher AQ adults did worse when drink colour tricked their taste judgment. Ingersoll (2010) saw the same group struggle to read facial cues. Both tasks need quick flexible switching, not pure pattern matching.

Baron-Cohen et al. (2006) backs up the tool itself. That paper showed the AQ cleanly splits autistic teens from typical ones, so we can trust the scores E et al. used.

Bishop et al. (2022) and Patton et al. (2020) extend the idea to new areas. Higher traits predicted poorer vowel clarity and weaker theory-of-mind, again showing social-communication cost, not visual gain. Together the set paints a trade-off picture: more autistic traits can boost detail focus while trimming social flexibility.

04

Why it matters

If you test a client who scores high on screening tools like the AQ yet has no diagnosis, don't be surprised if they race through visual puzzles while they miss facial cues or sarcasm. You can lean into their strength by using clear, segmented materials for teaching new tasks and by giving extra time for social-cognition drills. Also, when you see strong block-design scores during an IQ test, consider whether further autism screening is warranted. Match your intervention style to the cognitive profile you actually observe, not just the label.

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→ Action — try this Monday

Pull the AQ from your file and note any client with high visual scores; plan extra concrete, pattern-based prompts for new tasks this week.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
neurotypical
Finding
positive

03Original abstract

The Autism-Spectrum Quotient (AQ) has been developed to measure the degree to which an adult with normal intelligence has autistic traits. Although use of the AQ has resulted in a number of important findings, few studies have assessed whether scores predict cognitive aspects of ASD. This study assessed whether AQ scores predicted performance on an adapted block design. The test was adapted with a 'whole' and a 'segmented' task. High AQ scorers performed better than low scorers on the 'whole' task in the block design but performed equivalently on the 'segmented' task, as would be predicted in the autism spectrum. These findings add to the evidence showing construct validity for the AQ.

Autism : the international journal of research and practice, 2009 · doi:10.1177/1362361308098515